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Norström F, Zingmark M, Pettersson-Strömbäck A, Sahlén KG, Öhrling M, Bölenius K. How does the distribution of work tasks among home care personnel relate to workload and health-related quality of life? Int Arch Occup Environ Health 2023; 96:1167-1181. [PMID: 37436490 PMCID: PMC10504191 DOI: 10.1007/s00420-023-01997-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Accepted: 07/01/2023] [Indexed: 07/13/2023]
Abstract
BACKGROUND The work for Swedish home care workers is challenging with a variety of support and healthcare tasks for home care recipients. The aim of our study is to investigate how these tasks relate to workload and health-related quality of life among home care workers in Sweden. We also explore staff preferences concerning work distribution. METHODS A cross-sectional study was conducted in 16 municipalities in Northern Sweden. Questionnaires with validated instruments to measure workload (QPSNordic) and health-related quality of life (EQ-5D), were responded by 1154 (~ 58%) of approximately 2000 invited home care workers. EQ-5D responses were translated to a Quality-adjusted life-year (QALY) score. For 15 different work task areas, personnel provided their present and preferred allocation. Absolute risk differences were calculated with propensity score weighting. RESULTS Statistically significantly more or fewer problems differences were observed for: higher workloads were higher among those whose daily work included responding to personal alarms (8.4%), running errands outside the home (14%), rehabilitation (13%) and help with bathing (11%). Apart from rehabilitation, there were statistically significantly more (8-10%) problems with anxiety/depression for these tasks. QALY scores were lower among those whose daily work included food distribution (0.034) and higher for daily meal preparation (0.031), both explained by pain/discomfort dimension. Personnel preferred to, amongst other, spend less time responding to personal alarms, and more time providing social support. CONCLUSION The redistribution of work tasks is likely to reduce workload and improve the health of personnel. Our study provides an understanding of how such redistribution could be undertaken.
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Affiliation(s)
- Fredrik Norström
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
| | - Magnus Zingmark
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
- Municipality of Östersund, Health and Social Care Administration, Östersund, Sweden
- Department of Health Sciences, Lund University, Lund, Sweden
| | | | - Klas-Göran Sahlén
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
| | - Malin Öhrling
- Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden
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Gohar B, Larivière M, Lightfoot N, Larivière C, Wenghofer E, Nowrouzi-Kia B. Demographic, Lifestyle, and Physical Health Predictors of Sickness Absenteeism in Nursing: A Meta-Analysis. Saf Health Work 2021; 12:536-543. [PMID: 34900373 PMCID: PMC8640582 DOI: 10.1016/j.shaw.2021.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 06/22/2021] [Accepted: 07/07/2021] [Indexed: 01/08/2023] Open
Abstract
Background Sickness absenteeism is an area of concern in nursing and is more concerning given the recent impacts of the COVID-19 pandemic on healthcare. This study is one of two meta-analyses that examined sickness absenteeism in nursing. In this study, we examined demographic, lifestyle, and physical health predictors. Methods We reviewed five databases (CINAHL, ProQuest Allied, ProQuest database theses, PsycINFO, and PubMed) for our search. We registered the systematic review (CRD de-identified) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Additionally, we used the Population/Intervention/Comparison/Outcome Tool to improve our searches. Results: Following quality testing, 17 articles were used for quantitative synthesis. Female employees were at higher risks of sickness absenteeism than their male counterparts (OR = 1.73; 95% CI: 1.33-2.25). Nursing staff who rated their health as poor had a greater likelihood of experiencing sickness absence (OR = 1.38; 95% CI: 1.19-1.60). Also, previous sick leave predicted future leaves (OR = 3.35; 95% CI: 1.37-8.19). Moreover, experiencing musculoskeletal pain (OR = 2.41 95% CI: 1.77-3.27) increased the likelihood of sickness absence with greater odds when it is a back pain (OR = 3.05; 95% CI: 1.66-5.62). Increased age, physical activity, and sleep were not associated with sick leave. Conclusion Several variables were statistically associated with the occurrence of sickness absenteeism. One primary concern is the limited research in this area despite alarming rates of sick leave in healthcare. More research is required to identify predictors of sickness absence, and thereby, implement preventative measures.
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Affiliation(s)
- Basem Gohar
- Department of Population Medicine, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada
| | - Michel Larivière
- School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Nancy Lightfoot
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada
| | - Céline Larivière
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Elizabeth Wenghofer
- School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Behdin Nowrouzi-Kia
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
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Gohar B, Larivière M, Lightfoot N, Wenghofer E, Larivière C, Nowrouzi-Kia B. Meta-analysis of nursing-related organizational and psychosocial predictors of sickness absence. Occup Med (Lond) 2021; 70:593-601. [PMID: 33313909 DOI: 10.1093/occmed/kqaa144] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Nursing is a stressful occupation with high rates of sickness absence. To date, there are no meta-analyses that statistically determined the correlates of sickness absence in this population. AIMS This meta-analysis examined organizational and psychosocial predictors of sickness absence among nursing staff. METHODS As a registered systematic review (PROSPERO: CRD42017071040), which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, five databases (CINAHL, PROQuest Allied, PROQuest database theses, PsycINFO, PubMed) were reviewed to examine predictors of sickness absence in nurses and nursing assistants between 1990 and 2019. The Population/Intervention/Comparison/Outcome tool was used to support our searches. Effect sizes were analysed using random-effects model. RESULTS Following critical appraisals using (i) National Institutes of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and (ii) Strengthening the Reporting of Observational Studies in Epidemiology, 21 studies were included. Nursing assistants had greater odds of sickness absence than nurses. Working night shifts, in paediatrics or psychiatric units, experiencing poor mental health, and fatigue, also increased the odds of sickness absence. There was no evidence that job satisfaction or job strain influenced sickness absence; however, job demand increased the likelihood. Finally, work support reduced the odds of lost-time. CONCLUSIONS We synthesized three decades of research where several factors influenced sickness absence. Due to limited recent research, the results should be interpreted with caution as some practices may have changed overtime or between countries. Nevertheless, these findings could help in applying preventative strategies to mitigate lost-time in a vulnerable working population.
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Affiliation(s)
- B Gohar
- Psychology Department, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - M Larivière
- School of Human Kinetics, Northern Ontario School of Medicine, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - N Lightfoot
- School of Rural & Northern Health, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - E Wenghofer
- School of Rural & Northern Health, Laurentian University, Sudbury, Canada
| | - C Larivière
- School of Human Kinetics, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - B Nowrouzi-Kia
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada
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Self-Reported, Work-Related Injuries and Illnesses Among Restaurant Workers in Shiraz City, South of Iran. Ann Glob Health 2019; 85. [PMID: 31074598 PMCID: PMC6634354 DOI: 10.5334/aogh.2440] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Background: Restaurant sector is one of the most rapidly developing sectors in the world and there is evidence that restaurant industry has high levels of work-related diseases and injuries. This study examined the prevalence of self-reported work-related injuries and illness (WRIIs) and their association with demographic variables among restaurant workers in Shiraz, the capital of Fars Province, Iran. Methods: In this cross-sectional study, 300 randomly selected restaurant workers completed a self-statement, research-made questionnaire regarding the prevalence of self-reported WRIIs, in Shiraz, Iran. Statistical analyses were performed using SPSS version 20. Results: A high prevalence of work-related injuries (84%) and musculoskeletal disorders (70%) was reported among restaurant workers. Cuts and lacerations, arising from accidents with knives, were the most common injuries seen, followed by burns, falls, slips and trips. Moreover, the prevalence of occupational accidents had a significant association with work experience (p = 0.012), cooking (p < 0.001), as well as preparation and washing (p = 0.011). Age (p < 0.001) and work experience (p < 0.001) had a significance association with the prevalence of musculoskeletal disorders. Conclusion: Preventive measures and polices, through providing occupational health and safety services including trainings, personal protective equipment and health examinations, should be taken as to restaurants and catering industry in Iran.
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Moreira-Silva I, Teixeira PM, Santos R, Abreu S, Moreira C, Mota J. The Effects of Workplace Physical Activity Programs on Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Workplace Health Saf 2017; 64:210-22. [PMID: 27147634 DOI: 10.1177/2165079916629688] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
This article reviews the effectiveness of physical activity (PA) interventions at the workplace to reduce musculoskeletal pain among employees and assesses the effect size of these programs using meta-analysis. Four databases (i.e., PubMed, EBSCO, Web of Science, and Cochrane) were searched for research trials, which included comparison groups of employees that assessed PA programs, musculoskeletal pain, and health-related behaviors, published between January 1990 and March 2013. The meta-analysis estimates of standardized mean differences (Hedges' g) present significant evidence of less general pain (g = -.40 with a 95% confidence interval [CI] = [-0.78, -0.02]) and neck and shoulder pain (g = -.37 with a 95% CI = [-0.63, -0.12]) in intervention groups. The few studies of low back pain and arm, elbow, wrist, hand, or finger pain did not present sufficient statistically significant evidence. Consistent evidence demonstrates that workplace PA interventions significantly reduce general musculoskeletal pain and neck and shoulder pain. More studies are needed to determine the effectiveness of work-related PA interventions for arm, elbow, wrist, hand or finger, and low back pain.
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Affiliation(s)
| | | | - Rute Santos
- University of Porto Maia Institute of Higher Education
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Tveten KM, Morken T. Decision-making in job attendance within health care--a qualitative study. Occup Med (Lond) 2015; 66:247-51. [PMID: 26668248 DOI: 10.1093/occmed/kqv200] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Musculoskeletal complaints are considered a major cause of sickness absence, particularly in areas such as the health sector. However, little is known about the personal decision-making process for self-certified sickness absence. AIMS To explore female health care workers' thoughts and experiences about work attendance when experiencing musculoskeletal symptoms. METHODS A qualitative study using individual, semi-structured, in-depth interviews with eight female health care workers was performed. Questions were related to factors influencing the decision to attend work and decision-making when facing the dilemma of attending work when experiencing musculoskeletal symptoms. The data were analysed according to the systematic text condensation. RESULTS Subjects reported a high threshold before calling in sick. Self-certified sickness absence was not a strategy for coping with musculoskeletal symptoms as participants chose to be physically active and work part-time rather than taking sickness absence. Making decisions about attending work fostered conflicting norms, as women faced a dilemma between feeling guilt towards colleagues and patients and taking care of their own health. CONCLUSIONS The findings highlight the complexity of managing work when experiencing musculoskeletal symptoms, and the dilemmas faced by those affected. The importance of work environment factors and the fact that some women feel compelled to work part-time in order to prioritize their own health require further consideration.
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Affiliation(s)
- K M Tveten
- Department of Global Public Health and Primary Care, University of Bergen, Kalfarveien 31, 5018 Bergen, Norway,
| | - T Morken
- Department of Global Public Health and Primary Care, University of Bergen, Kalfarveien 31, 5018 Bergen, Norway, Uni Research Health, 5008 Bergen, Norway
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Davis KG, Kotowski SE. Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review. HUMAN FACTORS 2015; 57:754-92. [PMID: 25899249 DOI: 10.1177/0018720815581933] [Citation(s) in RCA: 201] [Impact Index Per Article: 22.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2013] [Accepted: 03/20/2015] [Indexed: 05/14/2023]
Abstract
OBJECTIVE The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides. BACKGROUND Nurses and nursing aides suffer from work-related pain and musculoskeletal disorders (MSDs). Although there have been a plethora of studies on MSDs, an overall understanding of the prevalence of MSDs and pain can lead to better prioritization of research needs with respect to the health care industry. METHOD A total of 132 articles on prevalence of MSD pain and injuries were included in the review. All articles were published in peer-reviewed English-speaking journals and subjected to a quality review. RESULTS Reported prevalence of MSD pain for nurses and nursing aides was highest in the low back, followed by shoulders and neck. However, the majority of the studies have been concentrated on 12-month pain in the low back and predominantly in hospitals. Few researchers have investigated pain in the upper and lower extremities (less than 27% of the studies). Even fewer researchers have evaluated reported injuries or even subjective lost-time injuries (less than 15% of the studies). CONCLUSION MSD pain in the nursing profession has been widely investigated worldwide, with a major focus on low-back pain. Given new directions in health care, such as patients who live longer with more chronic diseases, bariatric patients, early mobility requirements, and those who want to be at home during sickness, higher prevalence levels may shift to different populations--home health care workers, long-term care workers, and physical therapists--as well as shift to different body regions, such as shoulders and upper extremities.
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Andersen LN, Juul-Kristensen B, Roessler KK, Herborg LG, Sørensen TL, Søgaard K. Efficacy of 'Tailored Physical Activity' on reducing sickness absence among health care workers: A 3-months randomised controlled trial. ACTA ACUST UNITED AC 2015; 20:666-71. [PMID: 25983237 DOI: 10.1016/j.math.2015.04.017] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Revised: 04/13/2015] [Accepted: 04/24/2015] [Indexed: 11/17/2022]
Abstract
AIM The aim was to evaluate efficacy of "Tailored Physical Activity" (TPA) versus a reference group (REF) in reducing the number of self-reported days of sickness absence for health care workers in the Sonderborg Municipality. METHODS In this randomised controlled trial, all participants (n = 54) received health guidance for 1.5 h and were randomised to TPA or REF. The primary aim was to make a comparison of participants' self-reported sickness absence due to musculoskeletal troubles measured three months after baseline. Secondary outcomes included anthropometric, health-related and physical capacity measures. RESULTS A TPA intervention was not significantly more effective than REF in reducing sickness absence caused by musculoskeletal troubles. However, there were significant improvements for TPA participants compared to REF in reducing pain intensity from 47.9 mm to 21.8 mm (p < .01), increasing work ability from 7.3 to 8.1 (p = .04) and decreasing kinesiophobia from 26.7 to 22.5 (p < .01). A trend towards a significant improvement was seen for aerobic capacity while no effect of the intervention was found on productivity, BMI or grip strength. CONCLUSION This physical activity intervention is a promising initiative for health care workers since participants achieved a substantial effect on their experience of pain, on their work ability and on their fear of physical movement relating to pain. Moreover, a difference in aerobic capacity was apparent between the sample groups. TPA however, had no significant effect in reducing sickness absence days.
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Affiliation(s)
- Lotte Nygaard Andersen
- Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
| | - Birgit Juul-Kristensen
- Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Institute of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Bergen, Norway.
| | - Kirsten Kaya Roessler
- Department of Psychology, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
| | - Lene Gram Herborg
- Senior Citizen and Health Department, Social and Health Affairs, Municipality of Sonderborg, Denmark.
| | - Thomas Lund Sørensen
- Medical Department, Hospital of Southern Jutland, Region of Southern Denmark, Denmark.
| | - Karen Søgaard
- Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
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Halford S, Kukarenko N, Lotherington AT, Obstfelder A. Technical Change and the Un/Troubling of Gendered Ageing in Healthcare Work. GENDER WORK AND ORGANIZATION 2015. [DOI: 10.1111/gwao.12087] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Barene S, Krustrup P, Brekke OL, Holtermann A. Soccer and Zumba as health-promoting activities among female hospital employees: a 40-weeks cluster randomised intervention study. J Sports Sci 2014; 32:1539-49. [DOI: 10.1080/02640414.2014.906043] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Schluter PJ, Dawson AP, Turner C. Pain-related psychological cognitions and behaviours associated with sick leave due to neck pain: findings from the Nurses and Midwives e-Cohort Study. BMC Nurs 2014; 13:5. [PMID: 24559152 PMCID: PMC3939627 DOI: 10.1186/1472-6955-13-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Accepted: 02/19/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Sick leave due to neck pain (NP-SL) is costly and negatively impacts the productivity of the nursing and midwifery workforce. Identification of modifiable risk indicators is necessary to inform preventive efforts. This study aimed to investigate the role of pain-related psychological features (pain catastrophizing, fear of movement, and pain coping) in NP-SL alongside other potential risk indicators. METHODS A cross-sectional analysis of a large cohort study of Australian and New Zealand nurses and midwives, established between 1st April 2006 to 30th March 2008, was undertaken. Recruitment procedures adopted within each Nursing Council jurisdiction were governed by the individual regulatory authorities and their willingness to engage with the study. Invitations directed potential participants to a purpose-built internet-based survey, where study information was provided and consent requested. Once consent was obtained, a range of standardized tools combined into one comprehensive electronic questionnaire was elicited. Exposure variables assessed included pain characteristics and a broad range of psychological, psychosocial, occupational, general health and demographic factors. Two-way interactions between age and gender and candidate exposures were also assessed. Binary logistic regression was performed using manual backward stepwise elimination of non-significant terms. RESULTS The cohort included 4,903 currently working nurses or midwives aged 18-65 years. Of these, 2,481 (50.6%) reported neck pain in the preceding 12 months. Our sample comprised of 1,854 working nurses and midwives with neck pain in the preceding year who supplied sick leave data. Of these, 343 (18.5%) reported taking sick leave in the preceding year due to their neck pain. The final most parsimonious multivariable model demonstrated neck pain severity (adjusted odds ratio, [aOR] = 1.59), passive pain coping (aOR = 1.08) and fear of movement (aOR = 1.06) increased the likelihood of NP-SL in the previous year. Interactions between demographic and general health factors exhibited both protective and risk relationships with NP-SL, and there was no association between pain catastrophizing and NP-SL. CONCLUSIONS Findings demonstrate that sick leave due to neck pain was associated with pain severity, fear of movement and passive pain coping. In addition, there were complex interactions found between demographic and general health factors. These features represent potentially modifiable targets for preventive programs.
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Affiliation(s)
- Philip J Schluter
- School of Health Sciences, University of Canterbury, Private Bag 4800, Christchurch, CHCH 8140, New Zealand
- School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
| | - Anna P Dawson
- School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
- Sansom Institute for Health Research, University of South Australia, Adelaide, SA 5000, Australia
| | - Catherine Turner
- School of Nursing and Midwifery, University of Queensland, Brisbane, QLD 4072, Australia
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Kjellstrand CO, Gard G. Psychosocial Health and Workability among Staff Working with People with Cognitive Restrictions and Intellectual Disabilities. Health (London) 2014. [DOI: 10.4236/health.2014.618285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Ibraimi Z, Murtezani A, Haxhiu B, Mustafa A, Martinaj M. Prevalence and pharmacologic treatment of patients with low back pain treated at kosovo energetic corporation. Med Arch 2013; 67:410-3. [PMID: 25568510 PMCID: PMC4272453 DOI: 10.5455/medarh.2013.67.410-413] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2013] [Accepted: 11/11/2013] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Low back pain (LBP) is a common complaint among the general population with a subgroup developing chronic and disabling symptoms generating large societal costs. Recurrences and functional limitations can be minimized with appropriate conservative management, including medications, physical therapy modalities, exercise and patient education. OBJECTIVES The purpose of this study was to determine the prevalence of low back complaints in industrial workers, to investigate whether individual risk factors involved in the occurrence of LBP, and to determine the most frequent used drug in LBP treatment. MATERIALS AND METHODS Data for this study were provided from Kosovo Energetic Corporation. A cross-sectional study design was utilized. Self-administered questionnaires were distributed among 228 industrial workers. Patient with LBP underwent a comprehensive clinical, radiological and biochemical evaluation. RESULTS showed that LBP occurred in 63.5% of workers. Individual factors did not show significant associations with LBP. Age (OR=0.99/95% Cl 0.95-1.03), weight (OR=1.13/95% Cl 0.99-1.06), height (OR=0.97/95% Cl 0.91-1.02), and work experience (OR=1.01/95% Cl 0.97-1.05) increase odds for LBP but not significantly. The most frequently used drugs in patients included in this study are NSAIDs. In 33 (55.0%) patients for the treatment of LBP two types of drugs are administered. CONCLUSION Increased physical activity, health promotion and reduced body weight can prevent morbidity from LBP. A continuous consultation with the Clinical Pharmacist demonstrates effective way of dosage and drug re-evaluation for the patients with LBP.
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Affiliation(s)
- Zana Ibraimi
- Department of Pharmacy, Faculty of Medicine, University of Kosovo
| | - Ardiana Murtezani
- Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo
| | - Bekim Haxhiu
- Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo
| | - Aziz Mustafa
- Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo
| | - Merita Martinaj
- Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo
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Barene S, Krustrup P, Jackman SR, Brekke OL, Holtermann A. Do soccer and Zumba exercise improve fitness and indicators of health among female hospital employees? A 12-week RCT. Scand J Med Sci Sports 2013; 24:990-9. [DOI: 10.1111/sms.12138] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2013] [Indexed: 11/30/2022]
Affiliation(s)
- S. Barene
- Department of Sports; University of Nordland; Bodø Norway
- Department of Nutrition, Exercise and Sports; Section of Human Physiology; Copenhagen Centre for Team Sport and Health; University of Copenhagen; Copenhagen Denmark
| | - P. Krustrup
- Department of Nutrition, Exercise and Sports; Section of Human Physiology; Copenhagen Centre for Team Sport and Health; University of Copenhagen; Copenhagen Denmark
- Sport and Health Sciences, College of Life and Environmental Sciences; University of Exeter; Exeter UK
| | - S. R. Jackman
- Sport and Health Sciences, College of Life and Environmental Sciences; University of Exeter; Exeter UK
| | - O. L. Brekke
- Department of Laboratory Medicine; Nordland Hospital Bodø and Institute of Clinical Medicine; University of Tromsø; Tromsø Norway
| | - A. Holtermann
- National Research Centre for the Working Environment; Copenhagen Denmark
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Andersen LN, Juul-Kristensen B, Roessler KK, Herborg LG, Sørensen TL, Søgaard K. Efficacy of 'Tailored Physical Activity' in reducing sickness absence among health care workers: design of a randomised controlled trial. BMC Public Health 2013; 13:917. [PMID: 24088419 PMCID: PMC3852775 DOI: 10.1186/1471-2458-13-917] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2013] [Accepted: 09/26/2013] [Indexed: 12/01/2022] Open
Abstract
Background Health care workers have high physical work demands, involving patient handling and manual work tasks. A strategy for prevention of work-related musculoskeletal disorders can enhance the physical capacity of the health care worker. The aim of this study is to evaluate the efficacy of 'Tailored Physical Activity’ for health care workers in the Sonderborg Municipality. Methods/Design This protocol describes the design of a randomised controlled trial to assess the efficacy of 'Tailored Physical Activity’ versus a reference group for health care workers in the Sonderborg Municipality. Inclusion criteria to be fulfilled: health care workers with daily work that includes manual work and with the experience of work-related musculoskeletal pain in the back or upper body. All participants will receive 'Health Guidance’, a (90-minute) individualised dialogue focusing on improving life style, based on assessments of risk behaviour, on motivation for change and on personal resources. In addition, the experimental groups will receive 'Tailored Physical Activity’ (three 50-minute sessions per week over 10 weeks). The reference group will receive only 'Health Guidance’. The primary outcome measure is the participants’ self-reported sickness absence during the last three months due to musculoskeletal troubles, measured 3 and 12 months after baseline. In addition, secondary outcomes include anthropometric measurements, functional capacity and self-reported number of sick days, musculoskeletal symptoms, self-reported health, work ability, work productivity, physical capacity, kinesiophobia and physical functional status. Discussion The results from this study will contribute to the knowledge about evidence-based interventions for prevention of sickness absence among health care workers. Trial registration ClinicalTrials.gov: NCT01543984.
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Affiliation(s)
- Lotte Nygaard Andersen
- Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
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Tomita S, Muto T, Matsuzuki H, Haruyama Y, Ito A, Muto S, Haratani T, Seo A, Ayabe M, Katamoto S. Risk factors for frequent work-related burn and cut injuries and low back pain among commercial kitchen workers in Japan. INDUSTRIAL HEALTH 2013; 51:297-306. [PMID: 23385436 DOI: 10.2486/indhealth.2012-0134] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This study investigated risk factors for frequent work-related burn and cut injuries and low back pain (LBP) among kitchen workers including personal, work-related and environmental factors. Subjects were 991 kitchen workers in 103 schools, 17 hospitals and nursing homes, and 6 restaurants in central Japan. A cross-sectional survey was carried out using a structured self-administered questionnaire. Logistic regression models were used to examine associations between frequent injuries/LBP and risk factors. The effective response rate was 75.1% (n=744), the mean age was 40.7 (SD 11.7) and 77.2% were female. Burn injury was associated with a smaller kitchen (OR 1.94; 95%CI, 1.13-3.33), and gas kitchens rather than electric kitchens (OR 2.30; 95%CI, 1.17-4.52). LBP was associated with female gender (OR 2.46; 95%CI, 1.37-4.43), high body height (>160 cm) (OR 2.03; 95%CI, 1.22-3.36), and large number of meals produced per person (≥ 150 meals) (OR 1.83; 95%CI, 1.12-3.00). The results of this study suggest that securing adequate work space and introducing electric kitchen systems may reduce the risk to kitchen workers, as well as the importance of adequate height of cooking equipment and selecting an appropriate volume of meals to produce per person to prevent LBP in kitchen workers.
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Kim JL, Torén K, Lohman S, Ekerljung L, Lötvall J, Lundbäck B, Andersson E. Respiratory symptoms and respiratory-related absence from work among health care workers in Sweden. J Asthma 2013; 50:174-9. [PMID: 23294229 DOI: 10.3109/02770903.2012.760203] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To investigate respiratory symptoms and respiratory-related absence from work among Swedish health care workers (HCWs). METHODS From a postal questionnaire study among a general Swedish working population (n = 12,186), we identified 2156 HCW (555 assistant nurses, 377 nurses, 109 physicians, and 1115 others), including 429 with mainly cleaning tasks (HCW-cleaning). The remaining respondents were classified as non-HCW. Multiple logistic regressions with 95% confidence intervals (CIs) were used to compare respiratory symptoms and respiratory-related absence from work between HCW and non-HCW, adjusting for potential confounders. RESULTS The prevalence of adult onset asthma was 4.3% in HCW and 3.0% in non-HCW (p = .003). Asthmatic symptoms during the past year were reported mainly by HCW-cleaning, 14.7%, in comparison to 8.3% among non-HCW (p < .0001). HCW had an increased odds ratio (OR) for asthmatic symptoms during the past year (OR 1.3, 95% CI (1.1-1.5)) and more prominent among assistant nurses (OR 1.5, 95% CI (1.1-2.0)) and HCW-cleaning (OR 1.9, 95% CI (1.4-2.5)). Respiratory-related absence from work in the past year was reported by 1.4% of non-HCW, 3.0% of HCW-cleaning, 2.9% of nurses, and 1.6% of assistant nurses. Taking smoking and age into account, there was still significantly increased respiratory-related absence from work in nurses (OR 2.0, 95% CI (1.1-3.8)) and in HCW-cleaning (OR 2.1, 95% CI (1.2-3.7)). CONCLUSIONS HCW in Sweden, especially those with cleaning tasks, reported more respiratory symptoms and respiratory-related absence from work than the general working population. There is a need for longitudinal studies with detailed information on both occupational exposures and socioeconomic factors to explore what influences respiratory-related absence from work among HCW.
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Affiliation(s)
- Jeong-Lim Kim
- Section of Occupational and Environmental Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
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Estryn-Béhar M, Amar É, Choudat D. Les arrêts maladie ordinaire pendant la grossesse : une analyse à l'AP-HP de 2005 à 2008 montre leur importance majeure pour les métiers pénibles. Rech Soins Infirm 2013. [DOI: 10.3917/rsi.113.0051] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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Lang J, Ochsmann E, Kraus T, Lang JWB. Psychosocial work stressors as antecedents of musculoskeletal problems: a systematic review and meta-analysis of stability-adjusted longitudinal studies. Soc Sci Med 2012; 75:1163-74. [PMID: 22682663 DOI: 10.1016/j.socscimed.2012.04.015] [Citation(s) in RCA: 173] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2011] [Revised: 03/10/2012] [Accepted: 04/04/2012] [Indexed: 11/27/2022]
Abstract
Although the relationship between psychosocial workplace conditions and musculoskeletal problems has been extensively studied, the causal impact of psychosocial workplace factors in the development of musculoskeletal problems remains unclear. The purpose of the present study was to conduct a systematic review of baseline-adjusted prospective longitudinal studies estimating the lagged effect of psychosocial risk factors on musculoskeletal problems in industrialized work settings. A literature review was conducted by searching the MEDLINE, EMBASE, and PsychINFO databases dated until August 2009. The authors classified studies into categories of psychological work stressors and musculoskeletal problems. Available effect sizes were converted to odds ratios (OR). ORs were then pooled for each stressor-problem relationship using a random-effects model. Additionally, the possibility of publication bias was assessed with the Duval and Tweedie nonparametric "trim and fill" procedure. In total, 50 primary studies fulfilled inclusion criteria. Within these studies at least five effect sizes were available for 23 of the 45 possible psychosocial work stress-musculoskeletal problems relationships, leaving 9 psychosocial variables and four musculoskeletal problem areas for analyses. Of these 23 relationships, pooled OR estimates were positive and significant ranging from 1.15 to 1.66 with the largest pooled OR estimating the relationship between highly monotonous work and lower back pain. The lagged effect of low social support on lower limb problems was the only effect size for which the statistical test for bias was significant. Most psychosocial stressors had small but significant lagged effects on the development of musculoskeletal problems. Thus, organizational interventions to minimize these stressors may be promising in reducing one risk factor for the development of employee musculoskeletal problems.
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Affiliation(s)
- Jessica Lang
- Institute for Occupational Medicine, RWTH Aachen University, Pauwelsstraße 30, 52074 Aachen, Germany.
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Jensen LD, Ryom PK, Christensen MV, Andersen JH. Differences in risk factors for voluntary early retirement and disability pension: a 15-year follow-up in a cohort of nurses' aides. BMJ Open 2012; 2:bmjopen-2012-000991. [PMID: 23148337 PMCID: PMC3533112 DOI: 10.1136/bmjopen-2012-000991] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To estimate the extent of early retirement and to examine risk factors for voluntary early retirement and disability pension in a cohort of nurses' aides. DESIGN Register study including baseline questionnaire and register data covering all transfer incomes from 1991 to 2008 in a cohort of nurses' aides established in 1993 with a follow-up period of 15 years. SETTING Nurses' aides working in nursery homes, homecare or hospitals. PARTICIPANTS 3332 gainfully employed nurses' aides at the time of inclusion in the study. OUTCOME Disability pension or early voluntary retirement. RESULTS 16.2% of the population was granted disability pension and 27.1% entered early voluntary retirement in the follow-up period representing 11 186 lost working years with a direct cost in transfer payment amounting about €410 million. Health-related risk factors for disability pension was long-lasting low-back pain (HR 2.27(95% CI 1.55 to 3.34), sick leave because of upper-extremity disorders (HR 2.18 (95% CI 1.08 to 2.11), and inflammatory rheumatic disease (HR 2.42 (95% CI 1.67 to 3.52)). Of non-health-related factors, low education, workers compensation case, evening work and high-rated perceived exertion at work all were minor risk factors for disability pension. The primary risk factor for early voluntary retirement was low education (HR 3.19 (95% CI 2.65 to 3.85)). CONCLUSIONS 43.3% of nurses' aides gainfully employed in 1993 retired before due time during the follow-up period. Work-related factors at baseline only seemed to have a minor prognostic role. Risk factors for disability pension were mainly health-related factors, whereas economical factors seemed to influence the decision to choose early voluntary retirement. The number of persons and the amount of lost working years underscores the need of a more active counselling towards maintaining employment especially among those with persistent musculoskeletal disorders.
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Affiliation(s)
- Lone Donbæk Jensen
- Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Denmark
| | - Pia Køhler Ryom
- Department of Occupational Medicine, Danish Ramazzini Centre, Aalborg University Hospital, Denmark
| | | | - Johan Hviid Andersen
- Department of Occupational Medicine, Danish Ramazzini Centre, Herning University Hospital, Denmark
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Andersen LL, Clausen T, Mortensen OS, Burr H, Holtermann A. A prospective cohort study on musculoskeletal risk factors for long-term sickness absence among healthcare workers in eldercare. Int Arch Occup Environ Health 2011; 85:615-22. [PMID: 21986907 DOI: 10.1007/s00420-011-0709-5] [Citation(s) in RCA: 87] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2011] [Accepted: 09/27/2011] [Indexed: 11/29/2022]
Abstract
PURPOSE The socioeconomic burden of sickness absence from musculoskeletal disorders is considerable. However, knowledge about the risk of sickness absence from pain in different body regions among specific job groups is needed to more efficiently target preventative strategies. This study estimates the risk of long-term sickness absence (LTSA) from pain in different body regions among healthcare workers. METHODS Prospective cohort study among 8,952 Danish healthcare workers responding to a questionnaire in 2004-2005 and followed for 1 year in a national register of social transfer payments (DREAM). Using Cox regression hazard ratio (HR) analysis controlled for age, gender, BMI, smoking, seniority, leisure physical activity and psychosocial working conditions, we modeled risk estimates of sub-chronic (1-30 days last year) and chronic pain (>30 days last year) in the low back, neck/shoulder and knees for onset of LTSA (receiving sickness absence compensation for at least eight consecutive weeks) during one-year follow-up. RESULTS At baseline, the prevalence of chronic pain was 23% (low back), 28% (neck/shoulder) and 12% (knees). During follow-up, the 12-month prevalence of LTSA was 6.3%. Chronic pains in the low back (HR 1.47 [95% CI 1.17-1.85]), neck/shoulder (HR 1.60 [95% CI 1.27-2.02]) and knees (HR 1.92 [95% CI 1.52-2.42]) were significant risk factors for LTSA. However, only chronic neck/shoulder (HR 1.41 [95% CI 1.09-1.82]) and knee pain (HR 1.69 [95% CI 1.32-2.16]) remained significant with mutual adjustment for all three musculoskeletal pain regions. CONCLUSION Musculoskeletal pain is a risk factor for LTSA among healthcare workers. Future research among healthcare workers in eldercare should include the management of neck/shoulder and knee pain in addition to the management of back pain.
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Affiliation(s)
- Lars L Andersen
- National Research Centre for the Working Environment, Lersø Parkalle 105, 2100, Copenhagen, Denmark.
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Murtezani A, Hundozi H, Orovcanec N, Berisha M, Meka V. Low back pain predict sickness absence among power plant workers. Indian J Occup Environ Med 2011; 14:49-53. [PMID: 21120081 PMCID: PMC2992865 DOI: 10.4103/0019-5278.72241] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Background: Low back pain (LBP) remains the predominant occupational health problem in most industrialized countries and low-income countries. Both work characteristics and individual factors have been identified as risk factors. More knowledge about the predictors of sickness absence from LBP in the industry will be valuable in determining strategies for prevention. Objectives: The aim of this longitudinal study was to investigate whether individual, work-related physical risk factors were involved in the occurrence of LBP sickness absence. Methods: A follow-up study was conducted among 489 workers, aged 18–65 years, at Kosovo Energetic Corporation in Kosovo. This cross-sectional study used a self-administered questionnaire to collect data on individual and work-related risk factors and the occurrence of LBP sickness absence. Logistic regression models were used to determine associations between risk factors and the occurrence of sickness absence due to LBP. Results: Individual factors did not influence sickness absence, whereas work-related physical factors showed strong associations with sickness absence. The main risk factors for sickness absence due to LBP among production workers were extreme trunk flexion (OR = 1.71, 95% CI = 1.05–2.78) as well as very extreme trunk flexion (OR = 6.04, 95% CI = 1.12–32.49) and exposure to whole-body vibration (OR = 1.75, 95% CI = 1.04–2.95). Conclusion: Reducing sickness absence from LBP among power plant workers requires focusing on the working conditions of blue-collar workers and risk factors for LBP. Increasing social support in the work environment may have effects in reducing sickness absence from LBP.
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Affiliation(s)
- Ardiana Murtezani
- Physical Medicine and Rehabilitation Clinic, University Clinical Center of Kosovo, Kosova
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Genevay S, Cedraschi C, Courvoisier DS, Perneger TV, Grandjean R, Griesser AC, Monnin D. Work related characteristics of back and neck pain among employees of a Swiss University Hospital. Joint Bone Spine 2011; 78:392-7. [DOI: 10.1016/j.jbspin.2010.09.022] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2010] [Accepted: 09/08/2010] [Indexed: 11/17/2022]
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Jensen JN, Holten AL, Karpatschof B, Albertsen K. Does collective efficacy moderate the associations between physical work load and intention to leave or sickness absence? J Adv Nurs 2011; 67:2425-34. [DOI: 10.1111/j.1365-2648.2011.05674.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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25
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Hämmig O, Knecht M, Läubli T, Bauer GF. Work-life conflict and musculoskeletal disorders: a cross-sectional study of an unexplored association. BMC Musculoskelet Disord 2011; 12:60. [PMID: 21410950 PMCID: PMC3073966 DOI: 10.1186/1471-2474-12-60] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2010] [Accepted: 03/16/2011] [Indexed: 12/02/2022] Open
Abstract
Background The health consequences of work-family or rather work-life conflict (WLC) have been studied by numerous researchers. The work-related causes of musculoskeletal disorders (MSD) are also well explored. And stress (at work) has been found to be a consequence of WLC as well as a cause of MSD. But very little is known about a potential association between WLC and MSD and the possible mediating role of stress in this relationship. Methods Survey data collected in 2007 among the workforces of four large companies in Switzerland were used for this study. The study population covered 6091 employees. As the exposure variable and hypothesized risk factor for MSD, WLC was measured by using a 10-item scale based on an established 18-item scale on work-family conflict. The outcome variables used as indicators of MSD were (low) back pain and neck/shoulder pain. Stress as the assumed intervening variable was assessed by a validated single-item measure of general stress perception. Correlation coefficients (r), standardized regression coefficients (β) and multiple adjusted odds ratios (OR) were calculated as measures of association. Results WLC was found to be quite strongly associated with MSD (β = .21). This association turned out to be substantially confounded by physical strain at work, workload and job autonomy and was considerably reduced but far from being completely eliminated after adjusting for general stress as another identified risk factor of MSD and a proven strong correlate of WLC (r = .44). A significant and relevant association still remained (β = .10) after having controlled for all considered covariates. This association could be fully attributed to only one direction of WLC, namely the work-to-life conflict. In subsequent analyses, a clear gradient between this WLC direction and both types of MSD was found, and proved to be consistent for both men and women. Employees who were most exposed to such work-to-life conflict were also most at risk and showed a fivefold higher prevalence rate (19%-42%) and also an up to sixfold increased relative risk (OR = 3.8-6.3) of suffering greatly from these types of MSD compared with the least exposed reference group showing very low WLC in this direction. Including stress in the regression models again reduced the strength of the association significantly (OR = 1.9-4.1), giving an indication for a possible indirect effect of WLC on MSD mediated by stress. Conclusion Future research and workplace interventions for the prevention of MSD need to consider WLC as an important stressor, and the MSD risk factor identified in this study.
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Affiliation(s)
- Oliver Hämmig
- Division of Public and Organizational Health, Institute of Social and Preventive Medicine, University of Zurich, Hirschengraben 84, 8001 Zurich, Switzerland.
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Alshameeri Z, Mohammed M, Malkan D. Correlating the anatomical site of injury and work-related factors with sick leave duration following minor musculoskeletal injuries. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2011; 66:18-25. [PMID: 21337182 DOI: 10.1080/19338244.2010.486425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Many factors are associated with long sick leaves and therefore, reliance solely on disease-related factors can potentially underestimate sick leave durations. Here, we wanted to assess the association between the injury sites, work-related factors, and the length of sick leaves. Comprehensive medical legal reports of workers with pure minor musculoskeletal injuries were reviewed. 2029 reports of workers were included. 32.8% had sick leaves of less than a week in duration. Lower limb injuries were associated with longer sick leaves only in patients performing strenuous jobs. Public sector workers sustaining an injury at work and performing strenuous jobs were associated with longer sick leaves. Senior workers returned earlier to work, but age and gender were not strongly correlated with long sick leaves. There was a weak but significant association between sick leave duration and the period spent refraining from hobby activities, and almost all patients returned to their work before their hobbies.
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Affiliation(s)
- Zeiad Alshameeri
- Department of Trauma and Orthopaedics, Kings Mill Hospital in Sutton in Ashfield, Nottinghamshire, UK.
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Alencar MDCBD, Schultze VM, Souza SDD. Distúrbios osteomusculares e o trabalho dos que cuidam de idosos institucionalizados. FISIOTERAPIA EM MOVIMENTO 2010. [DOI: 10.1590/s0103-51502010000100006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: Os distúrbios osteomusculares relacionados ao trabalho continuam comuns entre trabalhadores, e permanece a preocupação dentro do tema "Promoção à saúde no trabalho". OBJETIVO: Investigar, em instituições na cidade de Curitiba, PR, as relações existentes entre as desordens osteomusculares de trabalhadores que cuidam de idosos, as condições de trabalho e a capacidade funcional dos idosos. MATERIAIS E MÉTODOS: Consistiram de elaboração de questionário contendo: dados demográficos, questões relacionadas ao trabalho, dificuldades no trabalho, entre outras; e os instrumentos: Questionário Nórdico de Sintomas Osteomusculares (QNSO), com questões sobre a dor lombar, e aplicação do Índice de Barthel nos idosos atendidos pelos trabalhadores. Os questionários foram aplicados sob forma de entrevista e posteriormente ocorreram levantamentos das tarefas e observações sistemáticas das atividades, com base na Ergonomia. RESULTADOS: Participaram 43 trabalhadores que cuidam de idosos, de ambos os gêneros e de 14 instituições; e 308 idosos por eles assistidos. A profissão dos trabalhadores variou entre cuidadores de idosos, auxiliares de enfermagem, auxiliares de serviços gerais e limpeza. Foram encontrados sintomas de dores osteomusculares nos últimos 30 dias em 62,7% dos trabalhadores, sendo as regiões das dores mais prevalentes: lombar, cervical, ombros e joelhos; e 90,0% apresentaram um único emprego. As atividades de trabalho de maior dificuldade foram: troca de fraldas e transferências posturais. Em alguns locais, o ritmo de trabalho, pressão temporal e pequena quantidade de funcionários para as demandas exigidas, também influenciaram na presença de dores músculo-esqueléticas. CONCLUSÃO: Concluiu-se que fatores relacionados à organização do trabalho influenciaram nas desordens osteomusculares.
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Jensen JN, Karpatschof B, Labriola M, Albertsen K. Do Fear-Avoidance Beliefs Play a Role on the Association Between Low Back Pain and Sickness Absence? A Prospective Cohort Study Among Female Health Care Workers. J Occup Environ Med 2010; 52:85-90. [DOI: 10.1097/jom.0b013e3181c95b9e] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Busch H, Göransson S, Melin B. Self-Efficacy Beliefs Predict Sustained Long-Term Sick Absenteeism in Individuals With Chronic Musculoskeletal Pain. Pain Pract 2007; 7:234-40. [PMID: 17714102 DOI: 10.1111/j.1533-2500.2007.00134.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Recovery beliefs are assumed to predict rehabilitation outcomes and return-to-work in various clinical conditions but are less frequently assessed in musculoskeletal disorders. We tested the hypothesis that recovery beliefs constitute a risk factor for sustained long-term sick absenteeism in men and women suffering from nonspecific chronic musculoskeletal disorders. A total of 233 subjects with a recent or ongoing experience of long-term sick leave were included in a prospective design. Subjects answered a postal baseline questionnaire and were followed up via register data for 1 year. Multivariate logistic regression analyses indicated that subjects with negative recovery beliefs (OR: 2.41; CI: 1.22-4.77), low sense of mastery (OR: 2.08; CI: 1.27-3.40), perceived high mental demands at work (OR: 1.77; CI: 1.05-2.99), and prior experiences of long-term sick absenteeism (OR: 1.86; CI: 1.02-3.37) had an increased probability of receiving sickness benefits at follow-up. We conclude that prolonged sickness absence contributes strongly to increase patients' sense of helplessness, lower self-efficacy, and hinder future work return. To improve work return, patients' maladaptive beliefs should be clarified and challenged early in the rehabilitation process.
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Affiliation(s)
- H Busch
- Department of Psychology, University of Stockholm, Stockholm, Sweden.
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Feng CK, Chen ML, Mao IF. Prevalence of and risk factors for different measures of low back pain among female nursing aides in Taiwanese nursing homes. BMC Musculoskelet Disord 2007; 8:52. [PMID: 17593305 PMCID: PMC1920507 DOI: 10.1186/1471-2474-8-52] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2007] [Accepted: 06/25/2007] [Indexed: 11/30/2022] Open
Abstract
Background Although low back pain (LBP) among nursing staff, especially in nursing aides (NAs), has been a major health problem around the world, there is limited information on its prevalence in Taiwan. In addition, various measurements have been used to determine LBP; understanding the risk factors for each measurement of LBP is essential for prevention. This study aimed to assess the prevalence of and risk factors for different measures of LBP among NAs in Taiwan. Methods A cross-sectional study was conducted among 244 female NAs from 31 nursing homes in central Taiwan. A self-administered questionnaire, including the Nordic questionnaire and the Karasek's job content questionnaire, was used to collect data regarding five different measures of LBP and about demographic, physical and psychosocial factors. Also, on-site observation at the workplace was conducted to measure the frequency of five high risk patient-handling tasks. Results Based on the subjects' reports on the previous twelve months, the prevalence rates for pain lasting for at least one day, seeking of medical care, intense pain, sick leave, and chronic pain were 66.0%, 43.9%, 38.1%, 10.7%, and 8.6%, respectively. While multiple logistic regression analyses indicated that the risk factors varied with different measures of LBP, at least one high risk patient-handling task and one psychosocial factor were observed to be associated each LBP related measure. Three risk factors, including manual transfer of patients between bed/wheelchair and bath cart, perceived physical exertion, and psychological demands, were consistently associated with different measures of LBP. Besides, age was found to be associated with an increased risk of only chronic pain. Conclusion The prevalence of LBP among NAs in Taiwan is high and should be actively addressed. Certain manual patient-transfer tasks and psychological demands seemed to play more important roles in severe LBP (such as care seeking, intense pain, and sick leave) than in minor LBP (pain lasting for at least one day). Because different LBP related measures might be involved with different etiological risk factors, any LBP reduction interventions that aim to improve ergonomic and psychosocial work environments for NAs should take this information into consideration.
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Affiliation(s)
- Chao-Kang Feng
- Institute of Public Health, National Yang-Ming University No. 155, Li-Nong Street, Sec. 2., Taipei, Taiwan
- Department of Healthcare Administration, Hung-Kuang University No. 34, Chung-Chie Rd., Shalu, Taichung County, Taiwan
| | - Mei-Lien Chen
- Institute of Environmental Health Sciences, National Yang-Ming University No. 155, Li-Nong Street, Sec. 2., Taipei, Taiwan
| | - I-Fang Mao
- Institute of Environmental Health Sciences, National Yang-Ming University No. 155, Li-Nong Street, Sec. 2., Taipei, Taiwan
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